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PassMed > 10/04 > Flashcards

10/04 Flashcards

(65 cards)

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1
Q

First line for Angina

A

Monotherapy - Bisoprolol

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2
Q

Second line for Angina

A

Long acting calcium channel blocker - Amlodipine

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3
Q

Which valve most commonly is affected in Infective Endocarditis

A

Tricuspid Valve

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4
Q

Presentation of fever, headache, psch sx, seizures, focal features, aphasia

A

Encephalitis - Herpes Simplex Virus 1

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5
Q

Presentation of mixed lower motor neuron and upper motor neuron signs, 40+, lack of sensory symptoms

A

Motor neuron disease - Amyotrophic Lacteral Sclerosis

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6
Q

Presentation of weakness in the evening

A

Myasthenia Gravis

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7
Q

First line for AF (stroke prevention)

A

Endoxaban - DOAC (Factor 10a inhibitor)

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8
Q

Most common type of lung cancer in non-smokers and peripheral lesion

A

Lung Adenocarcinoma

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9
Q

Treatment for asymptomatic Mitral Stenosis

A

Monitor with regular ECG

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10
Q

First line for myoclonic seizures - women

A

Levetiracetam

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11
Q

Dose and med for adult anaphylaxis

A

IM Adrenaline - 0.5 of 1/1000

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12
Q

Presentation of confusion and muscle cramps after chemo for Burkitt’s Lymphoma ?

A

Tumor Lysis Syndrome

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13
Q

Presentation of chest pain, fever, raised ESR and ECG of ST-elevation and PR depression post MI

A

Dressler’s Syndrome

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14
Q

Presentation of jugular venous distension, hypotension, muffled heart sounds

A

Cardiac tamponade

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15
Q

BP management - if ACEi not tolerated for patient under 55?

A

ARB - Candesartan

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16
Q

Presentation of painless jaundice, pale stools, dark urine, hepatomegaly, epigastric mass, gall bladder

A

Pancreatic cancer

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17
Q

Side effects of Thiazide Diuretics?

A

Hypercalcaemia + Hypocalciuria + Hypokalaemia + Hyponatraemia

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18
Q

ALS - what should be administered to patients who are in VF or pulseless VT AFTER 3 shocks has been administered

A

IV Amiodarone - 300 mg

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19
Q

Newly diagnosed patient over 55 with hypertension should be offered what?

A

ACEi or ARB

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20
Q

What is GCS

A

M(6), V(5), E (4)

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21
Q

Presentation of leg weakness but not face weakness or speech impairment

A

Anterior cerebral artery stroke

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22
Q

What should be prescribed to someone who had a recent MI and underwent PCI?

A

Dual anti-platelet therapy + Beta Blocker + ACEi + Statin

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23
Q

Newly diagnosed patient with hypertension who is under 55 should be prescribed what?

A

Calcium channel blocker

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24
Q

Prophylaxis for migraines in women?

A

Propranolol

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25
What to give patient with urine output of <0.5ml/kg/hr post operatively?
Administer 500 ml fluid challenge
26
Pneumococcal vaccination requirement for sickle cell disease patient?
Every 5 years
27
Management for renal stones greater than 20mm
Percutaneous Nephrolithotomy
28
Management for renal stone 10-20 mm?
Shockwave lithotripsy OR ureteroscopy
29
What should all patients with peripheral arterial disease take?
CLOPI + STATIN
30
What to do with patient aged 30+ with unexplained breast lump?
Suspected cancer pathway
31
What type of drug given to BPH?
Alpha 1 antagonist (Tamsulosin) - promote relaxation of smooth muscle of prostate and bladder to reduce LUTS
32
Cancer marker for testicular cancer?
HCG
33
Cancer marker for prostate cancer?
PSA
34
Cancer marker for colorectal cancer?
CEA
35
Cancer marker for ovarian cancer?
Ca-125
36
Is an anastomotic leak a surgical emergency?
Yes
37
Treatment of choice for biliary colic?
Elective laparoscopic cholecystectomy
38
Surgery for rectal cancer on anal verge?
Abdoimnoperineal resection
39
Which procedure requires prophylactic antibiotics?
Appendicectomy
40
When should LP be done to detect subarachnoid haemorrhage?
12 hours post-onset of headache - allow time for xanthochromia
41
What should be given patients with chronic pancreatitis?
Pancreatic enzyme supplements
42
When should Cholestyramine be given?
Bile acid sequestrant given to reduce amount of bile acids absorbed from intestines - hyperlipidaemia in Crohns
43
Management for testicular torsion?
Urgent BILATERAL orchidpexy
44
Presentation of progressive confusion developed over WEEKS, FLUCTUATING CONSCIOUSNESS and mildly slurred speech?
Ruptured bridge veins causing subdural heamorrhage
45
What can local anaesthetic toxicity be treated with?
IV 20% Lipid Emulsion
46
Common consequence for subdrual heamorrhage?
SIADH
47
What is a palpable mass separate from the body of the testicle?
Epididymal cyst
48
After vascular examination for suspected acute limb ischaemia?
Doppler examination of pulses
49
First line management of mastitis ?
Continue breast feeding
50
Presentation of singular painless ulcer?
Syphilis
51
Management for Syphilis?
IM Benzathine Benzylpenicillin
52
ALS - what do you give for non-shockable rhythm asap?
IV Adrenaline
53
Presentation of oliguria, fever, joint pain, rash, eosinophilia?
Acute interstitial nephritis - commonly drug induced - Penicillin
54
First line management for Chlamydia in pregnancy?
Erythromycin
55
Where does TB usually affect?
Upper zone fibrosis
56
Categorise acute asthma using PEFR and his baseline?
50-75% = moderate 33-50 = severe <33 = life threatening
57
Multiple painful genital ulcers?
GENITAL HERPES - HERPES SIMPLEX
58
What cancer is linked to colorectal cancer and MSH2 gene?
Endometrial cancer
59
Bleeding on dabigatran?
Add idarucizumab to reverse
60
AF management - heamodynamically unstable ?
Electrical cardioversion
61
AF management - heamodynamically stable
Amiodarone + Flecainide
62
AF management - younger patients + rate control
Beta blocker
63
Genital wart treatment?
Cryotherapy
64
In which patients is malignant otitis externa common in?
Diabetes Mellitus
65
Which finding on examination will be most associated with anklyosing spondylitis?
Schober’s Test - 4cm

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